Ace Dental10, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ACE DENTAL10, PLLC

Practice address

901 N Ih-35
Suite 111
Bellmead, TX 76705

Phone

(833) 777-7223

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aditi Gupta, DDS

Title

Owner

Phone

(201) 925-0210

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1093323362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N IH-35",
            "address_2": "SUITE 111",
            "city": "BELLMEAD",
            "state": "TX",
            "postal_code": "76705",
            "telephone_number": "833-777-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N IH-35",
            "address_2": "SUITE 111",
            "city": "BELLMEAD",
            "state": "TX",
            "postal_code": "76705",
            "telephone_number": "833-777-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE DENTAL10, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ADITI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-925-0210",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSBDE",
            "identifier": "29291",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.